摘要
目的探讨老年原发性青光眼患者合并焦虑及抑郁情绪的影响因素。方法将我院2017年4月~2019年4月收治的60例老年原发性青光眼患者作为研究对象,分为合并焦虑及抑郁组[焦虑自评量表(SAS)评分≥50分、抑郁自评量表(SDS)评分≥53分,n=33]、不合并焦虑及抑郁组(SAS <50分、SDS <53分,n=27)。对比两组性别、年龄、病程、文化程度、民族、居住地区、家庭经济收入、睡眠、青光眼家族史、吸烟史、饮酒史、是否合并糖尿病、是否合并高血压,将有差异的单因素信息纳入Logistic模型,行量化赋值,探讨老年原发性青光眼患者合并焦虑及抑郁情绪的危险因素。结果两组性别、文化程度、民族、居住地区、家庭经济收入、青光眼家族史、吸烟史、饮酒史对比无显著差异(P>0.05);合并焦虑及抑郁组患者年龄、病程显著高于不合并焦虑及抑郁组(P<0.05);合并焦虑及抑郁组家庭经济收入<3000元、睡眠差、合并糖尿病及高血压患者占比显著高于不合并焦虑及抑郁组(P<0.05)。Logistic模型证实年龄偏高、病程偏长、家庭经济收入<3000元、睡眠差、合并糖尿病、合并高血压是老年原发性青光眼患者合并焦虑及抑郁情绪的危险因素(P<0.05)。结论老年原发性青光眼患者合并焦虑及抑郁情绪的受到年龄、病程、家庭经济收入、合并疾病的影响,临床工作中应当给予关注。
Objective To explore the influence factors of anxiety and depression in elderly patients with primary glaucoma. Methods From April 2017 to April 2019, 60 cases of elderly patients with primary glaucoma were selected and divided into the anxiety and depression groups [self-evaluation of anxiety scale(SAS)score 50 points or more,depression self rating scale(SDS)score 53 points or more,n=33],and not with anxiety and depression group(SAS <50 points,SDS<53 points,n=27). The basic information,course of the disease,the degree of culture,nationality,living areas,family economic income,sleep,family history of glaucoma,history of smoking,drinking,whether whether diabetes mellitus and hypertension in two groups were compared,the risk factors of anxiety and depression were explored by the Logistic model. Results The age and disease course of patients in the group with combined anxiety and depression were significantly higher than those in the group without combined anxiety and depression(P<0.05). The proportion of family economic income < 3000 yuan,poor sleep,diabetes and hypertension patients in the group with anxiety and depression was significantly higher than that in the group without anxiety and depression(P<0.05). Logistic model confirmed that high age,long disease course,family economic income < 3000 yuan,poor sleep,diabetes mellitus and hypertension were risk factors for anxiety and depression in elderly patients with primary glaucoma(P<0.05). Conclusion The age,disease course,family income and associated diseases were risk factors of anxiety and depression in elderly patients with primary glaucoma.
作者
焦亮亮
朱文魁
郭浩轶
JIAO Liangliang;ZHU Wenkui;GUO Haoyi(Department of Ophthalmology,Pingmei Shenma Medical Group General Hospital,Pingdingshan 467000,China)
出处
《国际精神病学杂志》
2020年第4期784-787,共4页
Journal Of International Psychiatry
